知信行模式对2型糖尿病患者依从性和自我管理的应用-现代医学

知信行模式对2型糖尿病患者依从性和自我管理的应用

单位：1. 解放军第323医院内分泌科, 陕西西安 710054;
2. 西安交通大学第一附属医院内分泌科, 陕西西安 710061

分类号：R473.5

出版年·卷·期（页码）：2018·46·第八期（933-937）

摘要：

目的：探究知信行模式对2型糖尿病患者依从性和自我管理的应用。方法：选取2016年03月至2017年05月期间在解放军第323医院收治的216例糖尿病患者，按照数字表随机分成干预组与对照组，每组108例。在治疗前后，评估两组患者对糖尿病知识的认知情况，包括糖尿病的概念、并发症、药物用法用量等以及患者的自我管理和用药依从性，另外，对治疗后90 d的血糖、血脂以及生活质量进行比较与分析。结果：干预后，干预组和对照组的认知评分分别为（95.1±5.2）分和（71.3±8.8）分，两组患者对糖尿病知识的认知度均显著提高，有统计学意义（P<0.05），组间比较，干预组的提高程度显著高于对照组，差异有统计学意义（P<0.05）。干预后，干预组86.11%的患者用药依从性较好，13.89%依从性差，依从率为86.11%，与对照组相比较，两组的依从率具有显著性差异，有统计学意义（P<0.05）。干预后90 d，和干预前比较，两组患者FBG、2h PBG、TG、TC指标均不同程度改善，组间比较，干预组的改善程度显著高于对照组，有统计学意义（P<0.05）。另外，干预组患者的生活质量显著高于对照组，有统计学意义（P<0.05）。结论：在糖尿病的后期治疗中干预措施能有助于提高患者的自我管理和用药依从性以及改善患者日常生活质量，更好的控制血糖和血脂水平从而保证治疗效果。

Objective:To explore the knowledge attitude practice nursing mode on the compliance and self-management of patients with type 2 diabetes mellitus. Methods:From March 2016 to May 2017,216 patients with diabetes in our hospital of were treated, According to the digital chart,they were randomly divided into observation group and control group, 108 cases in each group. Before and after treatment,a comparison was made between the two groups on their cognitive knowledge of diabetes, including diabetes complications, the concept, drug dosage; also self management and medication compliance were compared between the two groups;90^th day blood glucose and blood lipid and quality of life after treatmentwere compared and analyzed. Results:After the intervention, cognitive scores in observation group and control group were (95.1±5.2) and (71.3±8.8) respectively, awareness of knowledge of diabetes patients in the two groups were significantly improved, with a astatistical significance (P<0.05), After the intervention, 86.11% patients in the observation group had good drug compliance, with a statistical significance (P<0.05). 90 d, 2 h, PBG, TG and TC indexes in the two groups were improved, the improving degree of the intervention group was significantly higher than that of the control group, with a statistical significance (P<0.05). In addition, the quality of life of the intervention group was significantly higher than that of the control group, with a statistical significance (P<0.05). Conclusion:The intervention measures in the later treatment of diabetes can help to improve the self-management of patients and drug compliance, improve the quality of daily life of patients, better control of blood sugar, body mass and blood lipid levels, so as to ensure the therapeutic effect.

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